Individual
LACEY SHIRAHAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202, PORTLAND, OR 97202
(503) 234-9591
Mailing address
12880 SE OTT STREEET, CLACKAMS, OR 97015
(503) 720-8352
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7176209
OR
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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